Graduated: 2025
NPI: 1447717657
Practice Locations (4)
553 N PACIFIC COAST HWY, SUITE 505
REDONDO BEACH, CA 902772105
3935 NORMAL ST APT, SUITE 309
SAN DIEGO, CA 921033588
6458 FFISCHER WAY
SAN DIEGO, CA 921305804
207 N FIR ST, FL 2
SISTERS, OR 977592615
5039873135
Source: CMS National Downloadable File, September 2026.